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December 1993

Multiple Erythematous Papules in Both Axillae

Author Affiliations

Hospital de Sant Joan, University of Barcelona, Spain

Arch Dermatol. 1993;129(12):1607-1612. doi:10.1001/archderm.1993.04540010089015

REPORT OF A CASE  A 61-year-old woman presented for evaluation of erythematous papules in the axillae.She stated that the lesions appeared during puberty, with no increase in number. Their size grew to some extent. The lesions were symptomless.Her family history was unremarkable, and her medical history showed only moderate hypercholesterolemia. She denied use of topical products, allergies, and depilatory maneuvers at the time of presentation. She never received treatment for these lesions.Physical examination disclosed multiple, well-demarcated, round-to-oval papules on both axillary vaults.These were 1- to 5-mm, reddish brown, nontender, and fleshy (Figures 1 and 2). The papules coalesced in the center of the vault, and alopecia was visible.Xanthelasmas were present in the inner canthus of both eyes. No lesions were found in any other folds. The genital area was also spared.A punch biopsy specimen was obtained from a lesion in her right axilla (Figure 3).What is your diagnosis?

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